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@ARTICLE{Nowak:142612,
author = {J. Nowak and K. Nemes and A. Hohm and L. A. Vandergrift and
M. Hasselblatt and P. Johann$^*$ and M. Kool$^*$ and M. C.
Frühwald and M. Warmuth-Metz},
title = {{M}agnetic resonance imaging surrogates of molecular
subgroups in atypical teratoid/rhabdoid tumor.},
journal = {Neuro-Oncology},
volume = {20},
number = {12},
issn = {1523-5866},
address = {Oxford},
publisher = {Oxford Univ. Press},
reportid = {DKFZ-2019-00330},
pages = {1672 - 1679},
year = {2018},
abstract = {Recently, 3 molecular subgroups of atypical
teratoid/rhabdoid tumor (ATRT) were identified, but little
is known of their clinical and magnetic resonance imaging
(MRI) characteristics.A total of 43 patients with known
molecular subgroup status (ATRT-sonic hedgehog [SHH], n =
17; ATRT-tyrosine [TYR], n = 16; ATRT-myelocytomatosis
oncogene [MYC], n = 10) were retrieved from the EU-RHAB
Registry and analyzed for clinical and MRI features.On MRI
review, differences in preferential tumor location were
confirmed, with ATRT-TYR being predominantly located
infratentorially (P < 0.05). Peritumoral edema was more
pronounced in ATRT-MYC compared with ATRT-SHH (P < 0.05) and
ATRT-TYR (P < 0.05). Conversely, peripheral tumor cysts were
found more frequently in ATRT-SHH $(71\%)$ and ATRT-TYR
$(94\%)$ compared with ATRT-MYC $(40\%,$ P < 0.05). Contrast
enhancement was absent in $29\%$ of ATRT-SHH $(0\%$ of
ATRT-TYR; $10\%$ of ATRT-MYC; P < 0.05), and there was a
trend toward strong contrast enhancement in ATRT-TYR and
ATRT-MYC. We found the characteristic (bandlike) enhancement
in $28\%$ of ATRT as well as restricted diffusion in the
majority of tumors. A midline/off-midline location in the
posterior fossa was also not subgroup specific. Visible
meningeal spread (M2) at diagnosis was rare throughout all
subgroups.These exploratory findings suggest that MRI
features vary across the 3 molecular subgroups of ATRT.
Within future prospective trials, MRI may aid diagnosis and
treatment stratification.},
cin = {B062 / L101},
ddc = {610},
cid = {I:(DE-He78)B062-20160331 / I:(DE-He78)L101-20160331},
pnm = {312 - Functional and structural genomics (POF3-312)},
pid = {G:(DE-HGF)POF3-312},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:30010851},
pmc = {pmc:PMC6231209},
doi = {10.1093/neuonc/noy111},
url = {https://inrepo02.dkfz.de/record/142612},
}